| NPI | 1275557266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 331464) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350099) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |